Further research is needed to verify the current findings. The current results are only a first examination of a possible brief screening tool. The order of questions presentation may have impacted responses to the overall NODS, biasing the current results. Thus, the CLiP slightly overestimates problem and pathological gambling rates as compared to the full NODS measure. The specificity of the CLiP, or percentage of true negatives over all those with negative results, was 88% for NODS non-pathological gamblers only and 90% for NODS non-problem/non-pathological gamblers. The resulting brief screening instrument is therefore referred to as CLiP. These were the screening questions for Loss of Control and Lying, and one of the two Pre-occupation items. One combination of three NODS questions identified almost all pathological gamblers and more than 90% of problem gamblers, the best overall performance of any set of questions. NODS data were statistically analyzed to identify the subset of items that captured most or all pathological and problem gamblers, as classified by the full NODS scale. A NODS score of 5 or more qualifies as pathological gambling, whereas scores of 3 or 4 indicate problem gambling. The 17 NODS items yield a score ranging from 0 to 10, corresponding to the number of discrete DSM-IV criteria for pathological gambling. The NORC DSM-IV Screen for Gambling Problems (NODS) is a 17-item self-report screening instrument. Participant recruitment and data collection methods varied across surveys however, all participants completed measures of gambling-related behaviour. Participants were previously recruited at the national and state level for participation in gambling research surveys. Demographic characteristics of the overall sample were not reported. Participants were 8867 current gambling adults. This paper is the first published report on the development of an efficient screening procedure for identifying problem and pathological gambling for epidemiological research and in clinical settings. There is a need for a brief assessment tool that is easy to use and that works well at correctly distinguishing problem and non-problem gamblers. One barrier to identifying problem and pathological gamblers for research and treatment purposes is the time required to complete many current screening measures. Volberg, Rachel A.Ĭan a brief measure of problem gambling be used as a screening instrument for research and clinical purposes? Author(s): Toce-Gerstein, Marianna Gerstein, Dean R.
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